Sharing an interesting case (attached). Torn ACL graft presenting with Ramp type IV (not reported) -> progressed to type V within less than 1 year. Let me know your thoughts. Atul Ramp Progression.pdf
Ramp lesion progression Read More »
M80 imaged for pain at left shoulder and left hip. MRI shows massive OA at both joints, and also lobulated cystic lesions at the left upper arm and at the prox. hip adductor muscles. At least at the upper arm there is a narrow, neck-like communication btw cyst and joint; possibly at the hip as
OCAD Pls help with cystic lesions at arm and hip (MRI) Read More »
I received a bunch of helpful comments. Phil Tirman: I think the excessive widening of the RI is due to long term stretching as a baseball player with a lot of forceful external rotation in his athletic career.Nice POLPSA Lesion. As an aside I don’t diagnose tendinitis, especially mild, in a 19y/o. I’ve had call
19 yr old male collegiate baseball player, pain 2 yrs after injury MRI please help Read More »
XRs look normal (per the diagnosis) Our protocol only includes Sag STIR, the Cor, Obl Cor an Obl Ax are PDFS I think I see subtle marrow edema at the bilateral anterior sacral margins…or I’m hallucinating…. I’m convinced there is mild bilateral sacroiliac synovitis No erosions I thought there might be a small anterior cortical
24F referred to evaluate non radiographic axial spondyloarthritis, Please Help Read More »
Hi OCADers, We have been tinkering with marrow mapping for trauma/tumor on DECT (Siemens) and things were going very well. We switched over to using rapid to send maps across without the use of the 3D lab and now all the maps are messed up. Even when we try manually now, the maps don’t work.
Dual energy marrow mapping Read More »
Dear OCADers, Thank you to everyone who shared their expertise with me. I really appreciate it. I share with you the responses I got: Dr. Monjardim: Hey Laith definitely infiltrated bone marrow. T1 too dark (darker than muscle) and there is enhancement. Dr. Braithwaite: although it is following the reversal pattern of normal red to
14 year old bone marrow Read More »
Another interesting comment in response to Andy’s comment. I realize I am sending too many emails. From here I’ll collect and send as 1 if there are more. Begin forwarded message: From: Jerrold To: I noted the same and spoke to one of the guys orthopods who believed in this stuff and he suggested putting
Unusual knee case (and a benefit of OCAD) Read More »
Thanks to all that responded. When (if) I get a response from the referring, I will forward. Many have also not seen this while a few have. Many comments about how image guidance for injections are helpful, even for the “easy joints” (thanks Jonathan Tresly) and I completely agree. I have told a story for
Unusual knee case (and a benefit of OCAD) Read More »
Hello Kyung, The case is impressive!! Why wouldn’t Hidradenitis suppurativa (aka Acne inversa) be a differential? This disease, while predominantly affecting the skin and subcutaneous tissue, has a predilection site at the intergluteal cleft (rima ani). I guess there was histology taken in your case, and it proved to be gout? Best wishes from Berlin,
